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SOUTH SUDAN Humanitarian Situation Report No SOUTH SUDAN Humanitarian Situation Report No. 153 Pupils in Torit ©UNICEF/South Sudan/Chol Reporting Period: 1-31 January 2021 Highlights Situation in Numbers • According to the Integrated Food Security Phase Classification (IPC) analysis released in December 2020, approximately 104,000 people 4.4 million will likely face catastrophe levels of acute food insecurity between children in need of December 2020 to March 2021 in six counties in Jonglei, Northern humanitarian assistance Bahr El Ghazal, Greater Pibor Administrative Area (GPAA) and Warrap states. • About 1.4 million children under the age of five are expected to suffer 8.3 million from acute malnutrition in 2021, including 313,391 children who are people in need of projected to suffer from severe acute malnutrition (SAM). humanitarian assistance • During the reporting month, a total of 15,170 children suffering from (OCHA,HNO, January 2021) severe acute malnutrition (SAM) were treated in inpatient and outpatient therapeutic programs. The performance indicators for SAM 310,000 treatment were above the acceptable minimum Sphere standards, with a cure rate of 96 percent, a death rate of 0.3 percent and a defaulter Refugees and asylum seekers rate of 2.0 percent. in need of humanitarian • The total number of COVID-19 cases was approaching 4,000 as at the assistance end of January. A total of 64 deaths were recorded during the same (OCHA,HNO, January 2021) period. UNICEF is preparing for the arrival of vaccines and is working closely with WHO and the Ministry of Health on planning the 2.24 million vaccination campaign, which will be gradual, given the limited supplies South Sudanese Refugees in available. neighbouring countries UNICEF’s Response and Funding Status (UNHCR Regional Portal, South Sudan Situation 30 September 2019) UNICEF Appeal 2021 SAM Admission 6% US$ 198 million Funding status 9% Nutrition Measles vaccination 0% Funding Status (in US$) Health Funding status 17% Carry- People with safe water 15% forward, Funding status $23M WASH 20% Children reached… 2% on Child Funding status 14% Protecti Children in school 0% Funding on gap, Funding status 5% Educati $175M Households… 6% on Social Funding status 2% Protecti Community engagement 10% C4D Funding status 20% 0% 50% 100% *Funding available includes funds received in the current year; carry-over from the previous year; and repurposed funds with agreement from donors. 1 Funding Overview and Partnerships In 2021, UNICEF is appealing for US$198 million to provide life-saving services for women and children in South Sudan. UNICEF expresses its sincere gratitude to all public and private donors who have continued to support multi-sectoral humanitarian programmes. Without adequate funding, UNICEF and partners will be unable to continue the scale up and implementation of integrated programmes as well as the provision of critical and protective services for women, children and men displaced by conflict and flooding, affected by gender-based violence, facing life-threatening diseases (including COVID-19), and impacted by extreme food and nutrition insecurity in 2021. Situation Overview & Humanitarian Needs In 2021 women and children in South Sudan are faced with multiple risks which include extreme food and nutrition insecurity, residual impact of floods, localized conflict, an ongoing economic crisis and disease outbreaks including COVID-19. As of 31 January 2021, a cumulative total of 3,929 confirmed COVID-19 cases and 64 deaths had been recorded in South Sudan with a case fatality rate (CFR) of 1.6 percent. According to the Integrated Food Security Phase Classification (IPC) assessment results shared in December 2020, in the first projection period of December 2020 to March 2021, an estimated 5.82 million people (48.3% of the population) will likely face Crisis (IPC Phase 3) or worse acute food insecurity, with 11,000 people likely to be in Catastrophe Six Priority 1 food insecure counties:OCHA,2021 (IPC Phase 5) acute food insecurity in Pibor County in Pibor Administrative Area. During this period, an estimated 1.79 million people are likely to face Emergency (IPC Phase 4) acute food insecurity. In the second projection period of April to July 2021, an estimated 7.24 million people (60% of the population) are likely to face Crisis (IPC Phase 3) or worse acute food insecurity, with 31,000 people likely to be in Catastrophe (IPC Phase 5) acute food insecurity in Akobo County (11,000) in Jonglei State, Aweil South County (7,000) in Northern Bahr el Ghazal State, and Tonj North County (13,000) in Warrap State. During the same period, an estimated 2.47 million are likely to be in Emergency (IPC Phase 4) acute food insecurity. The nutrition situation is critical, with 53 counties (68%) of the total being classified as IPC Acute Malnutrition (AMN) Phase 3 and above during the period November 2020 to March 2021. Approximately 1.4 million children under the age of five are expected to suffer from acute malnutrition in 2021, including 313,391 children who are projected to suffer from severe acute malnutrition. The estimation of the nutrition caseload was based on seasonal historical data from food security and nutrition monitoring systems, SMART nutrition surveys and the admission trends for 2020. Criminality remains a major concern in Juba coupled with robberies, snatching, house break-ins and other opportunistic crimes which are being widely reported. In addition, there is widespread inter-communal violence in Upper Nile State, Lakes State as well as in other states. In Greater Pibor Administrative Area (Jonglei State) revenge killings, age-set fighting, intra/inter communal clashes are being reported, these could further perpetuate insecurity in the state. The high rate of inflation, and the loss of value of the South Sudanese Pound (SSP), means the planning of many services is difficult, as prices of most goods track the U.S dollar, while many budgets are in SSP. Cost recovery for water in urban areas is for example in SSP, while supply inputs are priced in U.S. dollars. It also severely hurts the purchasing power of the urban poor, as well as households in rural areas, preventing the purchase of basic goods as well as basic health services not provided through Ministry of Health facilities. Summary Analysis of Programme Response Health UNICEF continues to work closely with the government and NGO partners to support integrated primary health care services in all the 25 counties of Jonglei and Upper Nile States targeting an estimated 1.8 million people. The support includes the distribution of essential drugs and medical equipment to 1911 health facilities to improve the quality-of- services, support for emergency preparedness and response activities as well as national and sub-national support to the Ministry of Health. For COVID-19 prevention UNICEF supports training of facility and community-based health 1 After almost a year of discussion with local authorities, it has been impossible to handover two health facilities from MSF to Livewell (PEHSP-Implementing Partner). These two health facilities were removed from the PEHSP List. 2 workers, triage and screening points/areas in all supported health facilities for recognition and referral of suspected COVID-19 cases as well as infection prevention and control measures. Distribution of COVID-19 information education and communication (IEC) materials, specifically home-based care posters and brochures, was conducted in UNICEF supported health facilities during the reporting month. In addition, UNICEF distributed ORS and paracetamol to further enhance the management of mild to moderate COVID-19 cases isolated at home. Replenishment of personal protective equipment (PPE) and infection prevention and control (IPC) supplies to the Provision of Essential Health Services Project (PEHSP) supported health facilities is ongoing. UNICEF procured and donated 40 oxygen concentrators and their accessories to the National Ministry of Health (MoH) to support and enhance the ongoing COVID-19 case management interventions, these supplies will be distributed to COVID-19 treatment facilities/wards in ten states and three administrative areas across the country. As a key member of the national vaccine technical working group (TWG), UNICEF continued to provide technical support in the preparation and implementation of the national COVID-19 deployment and vaccination plan. In January 2021, UNICEF through the support of partners provided curative consultations nearly 135,000 people, including over 70,000 cchildren under the age of 5 years. The figure includes 72,850 females and 63,316 males. Patients were reached through static health facilities, routine outreach activities and Boma Health Initiative (BHI) modalities. Most children and adults received consultations for malaria (37%) followed by pneumonia (17%) and diarrhoea (14%). In addition, UNICEF and its partners distributed 98,634 long lasting insecticide treated nets (LLITNs) to 49,317 families. UNICEF also continued with the distribution of essential drugs and medical equipment to the 191 World Bank supported health facilities in the 25 counties in Upper Nile and Jonglei States. Nutrition UNICEF is providing preventive and curative nutrition services to children and women in South Sudan in partnership with nutrition sector implementing partners. In January 2021, a total of 15,170 children suffering from severe acute malnutrition (SAM) were treated in inpatient and outpatient therapeutic programs. The highest admissions were recorded in Jonglei state (25.5%) followed by Unity state (15.1%). Compared to the same period last year, the SAM admissions were reduced by 12.3%. One of the potential reasons for the reduction is program adaptation related to COVID-19 where weight-for-height admission criteria was suspended since the second quarter of 2020. The performance indicators for SAM treatment were above the acceptable minimum Sphere standards, with a cure rate of 96 per cent, death rate of 0.3 and a defaulter rate of 2 per cent. During the same period, infant and young child feeding counselling services reached a total of 123,663 pregnant women and caregivers of children 0-23 months.
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